Identifying people with acute HIV infection: demographic features, risk factors, and use of health care among individuals with AHI in North Carolina.

Identifying people with acute HIV infection: demographic features, risk factors, and use of health care among individuals with AHI in North Carolina.
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DOI:
10.1007/s10461-008-9519-5
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发表时间:
2009-12
期刊:
影响因子:
4.4
通讯作者:
Leone, Peter A.
Leone, Peter A.
中科院分区:
医学2区
文献类型:
--
作者:
Hightow-Weidman, Lisa B.;Golin, Carol E.;Green, Kelly;Shaw, Eva N. P.;MacDonald, Pia D. M.;Leone, Peter A.

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识别和咨询急性艾滋病毒感染(AHI)的个人提供了一个关键的机会,以避免可预防的艾滋病毒传播,但机会,以识别这些人可能会错过。我们调查了32名成年人诊断为AHI自愿艾滋病毒检测从1/1/03至2/28/05在NC的公共资助的测试站点,以描述他们的临床,社会和行为特征。81%的参与者是男性; 59%是非洲裔美国人。75%的人出现了与急性逆转录病毒综合征一致的症状;尽管83%的人因这些症状寻求医疗护理,但只有15%的人在初次就诊时得到了适当的诊断,这表明错过了早期诊断这些人的机会。85%的男性与男性发生性关系。超过50%的参与者认为他们是通过稳定的伴侣感染艾滋病毒的。这项研究产生了重要的信息,以协助确定人群的风险或感染AHI和设计初级和二级预防干预措施。
Identifying and counseling individuals with Acute HIV Infection (AHI) offers a critical opportunity to avert preventable HIV transmission, however opportunities to recognize these individuals may be missed. We surveyed 32 adults diagnosed with AHI during voluntary HIV testing from 1/1/03 to 2/28/05 in publicly funded testing sites in NC to describe their clinical, social, and behavioral characteristics. Eighty-one percent of participants were men; 59% were African American. Seventy-five percent experienced symptoms consistent with acute retroviral syndrome; although 83% sought medical care for these symptoms, only 15% were appropriately diagnosed at that initial medical visit, suggesting opportunities to diagnose these individuals earlier were missed. Eighty-five percent of the men engaged in sex with men. More than 50% of the participants thought they were infected with HIV by a steady partner. This study yields important information to assist in identifying populations at risk for or infected with AHI and designing both primary and secondary prevention interventions.
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